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Clinical signs of B12 deficiency include nausea, vomiting, loss of appetite, poor absorption of food (malabsorption syndrome), constipation, gas, weight loss, fatigue, lethargy, abdominal pain, and diarrhea

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The benzyl alcohol preservative in bacteriostatic water helps prevent bacterial contamination during this period, but it does not prevent chemical degradation of the peptide itself

[PMID: 11419959] PubMed record related to this compound for laboratory literature review

Serious problems are less common but require attention